Automated staff workflow
The Plan’s team was spending at least 20 minutes per provider file manually importing data and additional time calling providers for missing data. CAQH PSV uses a combination of automated processes and a specially trained team to collect, import, validate and confirm provider data and finalize files.
Reduced audit vulnerability
As an NCQA-Certified Credentials Verification Organization (CVO), CAQH meets all regulatory requirements for verified data elements, reducing the plan’s audit vulnerability.
No data pass-through fees
CAQH bundles data extract fees and licensing databases as a flat-rate cost. This helped the Plan avoid overlapping service and data charges.
Scalable services and pricing
CAQH tiered pricing scales as the plan’s network grows, for both on- and offshore pricing options. If data for a file can’t be confirmed, the plan receives a rebate for those files.